Organization
CENTRA HEALTH INC
Active
Other names
Centra Lab/Lynchburg General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS C ADDISON (SRVP/CFO)
(434) 947-4708
Entity
Organization
Contact information
Practice address
1900 TATE SPRINGS RD, LYNCHBURG, VA 24501-1122
(434) 947-3777
(434) 947-4763
Mailing address
PO BOX 2496, LYNCHBURG, VA 24505-2496
(434) 947-3777
(434) 947-4763
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
H1870
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184135
ANTHEM
VA
Enumeration date
08/31/2006
Last updated
08/22/2020
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